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Overview of AHRQ Resources to Improve Patient Safety (Text Version)

On September 15, 2009, Jeff Brady made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (3.5 MB).

Slide 1

Overview of AHRQ Resources to Improve Patient Safety

September 15, 2009

Slide 2

Agenda

Overview & Introduction

Jeff Brady, M.D., AHRQ, CQuIPS

Speakers

Erin Hartman, M.S., University of California, San Francisco

Jim Battles, Ph.D., AHRQ, CQuIPS

Greg Maynard, M.D., University of California, San Diego

Kerm Henriksen, Ph.D., AHRQ, CQuIPS

Farah Englert, AHRQ, OCKT

Slide 3

To Err is Human:
Building a Safer Health System

44,000—98,000 deaths/yr

8th leading cause of death in US

National Costs: $17 to $29 billion

$2 billion Adverse Rx event costs alone

2% hospital admissions (preventable)

Add $4,700 in costs to each hospitalization

Institute of Medicine, 1999

Slide 4

Personal Experience with
Medical Errors

The percentage who said they have been personally involved in a situation where a preventable medical error was made in their own medical care or that of a family member?
(Source: Kaiser Family Foundation surveys)

Slide 5

AHRQ's Mission

Improve the quality, safety, efficiency and effectiveness of health care for all Americans

Slide 6

Patient Safety Portfolio

To improve the quality of care delivered to patients by decreasing or eliminating health care risks and harms.

Slide 23

Hospital Culture Survey Comparative Database

Provides results hospitals can use as benchmarks in establishing a patient safety culture.

Features a narrative description of the survey findings, with results by hospital and respondent characteristics, as well as trending results for 98 hospitals that submitted data from previous and most recent safety culture surveys.

Appendixes provide data tables and show trends over time.

Slide 24

Nursing Home Survey on
Patient Safety Culture

Pilot tested in 40 nursing homes

Survey materials and technical assistance for survey administration are free